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David Palecek , NP-C

Nurse Practitioner • Fresno, CA

Active NPI 1104337393 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

2823 Fresno St
Fresno, CA 937211324

Call 5594597300 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2823 Fresno St

Fresno, CA 937211324

Telephone 5594597300
Organization at the Same NPPES Address or Phone
Perinatal Medical Group Facility NPI 1760441844

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Community Health Partners; Sutter Bay Hospitals. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2017

Medicare patients

59 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $7,487 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $5,782 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Open Payments general payments, program year 2023

All general payments: $153.53 across 2 records.

By nature of payment

  • Food and Beverage: $153.53 across 2 records.

Reporting-company totals

  • AstraZeneca Pharmaceuticals LP: $125.00 across 1 record.
  • bioMerieux Inc: $28.53 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2023 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

David Palecek has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists David Palecek as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Fresno and California

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Fresno, CA (2024, 56 clinicians with data). Median for this group: 251. Middle half: 69 to 703.

Fewer Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in California (2024, 2,070 clinicians with data). Median for this group: 201. Middle half: 73 to 538.

Medicare-allowed amount

A lower Medicare-allowed amount than 70% of clinicians listed under Nurse Practitioner in Fresno, CA (2024, 56 clinicians with data). Median for this group: $14,723. Middle half: $7,460 to $59,416.

A lower Medicare-allowed amount than 70% of clinicians listed under Nurse Practitioner in California (2024, 2,070 clinicians with data). Median for this group: $18,428. Middle half: $6,851 to $46,917.

Paid by Medicare

A lower Medicare payment amount than 70% of clinicians listed under Nurse Practitioner in Fresno, CA (2024, 56 clinicians with data). Median for this group: $10,273. Middle half: $5,776 to $44,003.

A lower Medicare payment amount than 70% of clinicians listed under Nurse Practitioner in California (2024, 2,070 clinicians with data). Median for this group: $13,640. Middle half: $4,992 to $34,836.

211 active clinicians are listed under Nurse Practitioner with a practice address in Fresno, CA (8,237 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fresno

10% of these 211 clinicians have the CMS telehealth indicator.

37.4% of these 211 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2023
Disclosure Year:

Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $153.53.

Manufacturer Payment Nature Product Type Amount ($)
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
— General $125.00
bioMerieux Inc
Food and Beverage
In-kind items and services
FILMARRAY PNEUMONIA PANEL (PNEUMO) General $28.53

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2018–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
44 18 $251.49 $73.00
99291 Critical care, first 30-74 minutes
24 21 $746.57 $178.12

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES CA 95007223

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20180212000778

Enrollment State Jurisdiction

CA

PECOS Control ID

0042570160

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Community Health Partners

2823 Fresno St, Fresno, CA 937211324

Phone: 5594596000

Sutter Bay Hospitals

601 Duboce Ave, San Francisco, CA 941173389

Phone: 4156002200

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

11 listed
Cameron Baker , PA-C

Physician Assistant - Surgical

NPI 1205265964

Physician Assistant (Certified)

Pedro Contreras Torres , PA

Physician Assistant - Surgical

NPI 1679871370

Physician Assistant

Veronica Demary , PA-C

Physician Assistant - Surgical

NPI 1871905984

Physician Assistant (Certified)

Rodrigo De Zubiria , PA-C

Physician Assistant - Surgical

NPI 1194948406

Physician Assistant (Certified)

Simon Dougherty , PA-C

Physician Assistant - Surgical

NPI 1780660761

Physician Assistant (Certified)

Christopher Hillman , PA-C

Physician Assistant - Surgical

NPI 1104014562

Physician Assistant (Certified)

Career & Practice History

NPI enumerated October 16, 2017.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from November 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1104337393
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2017
Last Update: October 16, 2017
Sole Proprietor: No

Other Nurse Practitioners in Fresno

All Nurse Practitioners in Fresno

Mailing Address

2625 E Divisadero St

Fresno, CA 937211431

Phone: 5594535200

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.